| NPI | 1669096087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 213069) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2023-05-09 |